Dadaab is the world’s largest long-term refugee settlement, made up of five camps, which are home to some 345,000 refugees, mostly Somalis. As a result of an agreement signed by the UNHCR, UN refugee agency, and the governments of Kenya and Somalia in 2013, Somalian refugees are being urged to return home voluntarily. However, very few refugees are making this choice and they remain in Dadaab, where funding for humanitarian assistance continues to decrease. Although MSF has not been able to have a permanent international presence there since 2011 due to insecurity, staff have continued to work in the 100-bed hospital in Dagahaley camp and at four health posts, providing outpatient and mental health consultations, surgery, and antenatal, HIV and TB care. In May, prevailing insecurity caused MSF to evacuate a number of staff and close two of its four health posts. In 2015, teams carried out 182,351 outpatient consultations and admitted 11,560 patients to the hospital.